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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to be angry about post c-section pain “relief”?

287 replies

SillySausage81 · 12/04/2023 09:06

Did anyone else find post C-section pain relief woefully inadequate?

I had an emergency caesarean 6 weeks ago and now the dust has started to settle I am starting to feel really bloody angry about the “pain relief” (I feel like it’s a joke even calling it that) I was offered in the first few days.

Paracetamol and ibuprofen. Fucking headache tablets. In the first 3 days I’d describe them as “taking the edge off slightly”. Very slightly. Laying down I was mostly OK, but any attempt at movement caused excruciating agony.

My baby then got taken to the NICU and I couldn’t even go and see her for 18 hours because even just trying to get out of bed and into a wheelchair was unbearable agony. Eventually (after 18 hours and a couple of failed attempts) I made a mammoth effort to push through the pain because I really wanted to see her, and I finally managed to get into a wheelchair and see her (no joke, it took nearly 30 minutes just to stand up and sit in the wheelchair).

I gave birth to my first baby vaginally with just gas and air, and I would describe the pain of trying to get out of bed in the first 2 days after my c-section as being worse than the worst pain I felt during that vaginal birth. Every centimetre I moved felt as though I was being cut open again.

The (slight) effect of the paracetamol and ibuprofen wore off after 4 hours but you can only have it 4 times in every 24 hours, which left long gaps where I didn’t have any pain relief at all.

At some point on the second day I was offered oramorph, but only when I was lying on my back crying from the pain and begging for more pain relief - no one suggested it earlier when I was crying out in pain trying and failing to get out of bed to see my sick baby. But anyway, the oramorph did precisely jack shit anyway, didn’t even take the edge off. The paracetamol was more effective (I have since googled it and apparently I’m far from being the only person who is unaffected by oramorph). When I told the midwives the oramorph wasn’t affecting me they didn’t offer any alternatives, just kept offering more oramorph and telling me it’s supposed to be stronger than paracetamol (well that’s by the by if it doesn’t affect me, isn’t it...)

On top of that, the uterine contractions, stinging from those bloody blood thinning injections, plus twinges from the bloody cannula in my hand only made the already unbearable pain from the wound harder to deal with.

Meanwhile I had the NICU nurse keep on at me that I needed to express milk every 3 hours if I didn’t want my milk to dry up (which I really didn’t want it to as I REALLY wanted to breastfeed) but I was simply in too much pain to do it for the first 42 hours. Thankfully I was able to start on the third day and it didn’t affect my supply, but I could have done without that grief, and actual proper pain relief would have removed that problem.

At the time I didn’t know other painkillers existed, but now I’ve done some reading and spoken to other people and found out there are loads of other options, so I don’t understand why they couldn’t offer me them when what I was getting clearly wasn’t enough.

All I keep reading about is women who say they weren’t in any pain at all and were skipping around Tesco’s after 2 days.

But is there anyone else out there who thinks the pain relief was inadequate?

I’ve heard (conflicting) accounts that they can’t give stronger painkillers to breastfeeding mothers, but that would have been by the by given that, without them, I was unable to visit my baby to breastfeed her OR even express colostrum for her anyway, so if that was their reasoning then it was counterproductive.

OP posts:
MaltedCow · 12/04/2023 10:41

Ah OP I remember the recovery well and agree with you. I was so desperate to get home having been away from my son for a week prior to even giving birth and my husband being there through active labour and an hour post birth before having to leave (Covid rules) I was told I had to go an extended period just taking ibu and paracetamol to get discharged. I remember just gritting my teeth desperate to get home. Your recovery sounds more brutal than mine, I was one of the fortunate ones (definitely not skipping around Tesco) but on my feet a few hours post section (again the sheer desperation to get home made me do more than I should have and I bloody felt it when I got home). My son was a vaginal birth and my experience of a C-section recovery compared to that was so much worse (albeit better than other women) that I'm so hoping to manage a VBAC this time around 🤞

I hope your baby is doing okay and your recovery is smooth, I'm so angry that you were denied time with your baby because of a failure to give you alternative pain relief. ❤️

WomensRightsAre · 12/04/2023 10:43

YANBU. I could have written your OP and still feel utter horror when I look back on it. If this was a patient group better able to advocate for themselves it would not be tolerated. But we leave hospital absolutely shattered and shocked and with our tiny babies to look after. Nothing changes.

It was absolutely barbaric- crying and begging the nurses for oramorph which made me sick. I was then offered Tramadol (to avoid the Oramorph). Tramadol made me high and incapable of looking after the baby. I had several days back struggling in great pain with Codeine which I had to stop taking because it made me dizzy before finally being discharged.

The pain and distress of being under medicated stopped me being able to establish breastfeeding and the baby lost too much birthweight so we were in hospital for a week. I am convinced that if I had been given appropriate pain relief and better resourced nursing support to help establish BF that we would have been out days sooner, much less traumatically and saved the NHS a lot of money by doing that.

Fraaahnces · 12/04/2023 10:44

While I am so sorry that you went through this, there might have been medical reasons for not giving you further pain relief… Perhaps they needed to encourage uterine contraction, or your BP was low… I don’t know. Personally, I agree. It was shocking, and I’m surprised that no one talked to you about it, at the very least. I only had c-sections, so can’t compare to vaginal birth. I was given fentanyl for about six-12 hours post-surgery (am allergic to opiates) and I didn’t need them after that. I had a reasonably significant hemorrhage with 2nd birth (twins) so felt bruised and tired but not in the sort of pain you describe, thank goodness! I can’t blame you for being traumatised and resentful.

IcedBananas · 12/04/2023 10:44

I’ve had 2 cs and with one I was fine and the other I did need stronger pain killers. It’s totally barbaric what happened to you. Please complain via PALs otherwise nothing will change. The nurses will be well aware that some people need stronger pain killers and shouldn’t be making it so hard to get them. There’s a general concern around addiction to opiates and women who’ve just had a difficult birth may be considered higher risk. I expect this is where the reluctance comes from, but they’ve gone way too far with it if women are begging for pain relief after a major surgery. It wouldn’t happen to men. Please complain women need to make a huge fuss or nothing will change.

Wishitsnows · 12/04/2023 10:45

Men having a similar operation would be given adequate pain relief.

Willowthecrisp · 12/04/2023 10:45

I was given something strong for the first 24 hours after the section but then sent home with paracetamol and ibuprofen after that. I was quite sore for about a week after and then much better. Honestly I found it ok (rested a lot and didn’t leave the house for a week so wasn’t exactly skipping around the place) and didn’t need anything stronger so perhaps you had more pain than most or perhaps I was lucky? I certainly would have kicked up a fuss if I was in severe pain. I’ve had 2 c sections and it was the same both times.

Throwncrumbs · 12/04/2023 10:48

A lot of pain medication cannot be given to new mothers, so paracetomol and ibuprofen are the norm. Codiene based pain relief and oramorph can pass onto baby if you breast feed, do you want to risk your baby being drugged via breast milk? There is also the risk of accidentally harming baby while being afffected by opiods, accidental suffocation is one. I know it’s not ideal but what’s the alternative.

CornishGem1975 · 12/04/2023 10:51

It does sound like you weren't in the usual amount of pain OP. I mean there's no 'normal' but what you've described is certainly not the experience of myself or anyone else I've known. Getting out of bed shouldn't have been that painful. Have you requested your notes to see if something else was at play? Could have been some nerve damage.

Throwncrumbs · 12/04/2023 10:52

WomensRightsAre · 12/04/2023 10:43

YANBU. I could have written your OP and still feel utter horror when I look back on it. If this was a patient group better able to advocate for themselves it would not be tolerated. But we leave hospital absolutely shattered and shocked and with our tiny babies to look after. Nothing changes.

It was absolutely barbaric- crying and begging the nurses for oramorph which made me sick. I was then offered Tramadol (to avoid the Oramorph). Tramadol made me high and incapable of looking after the baby. I had several days back struggling in great pain with Codeine which I had to stop taking because it made me dizzy before finally being discharged.

The pain and distress of being under medicated stopped me being able to establish breastfeeding and the baby lost too much birthweight so we were in hospital for a week. I am convinced that if I had been given appropriate pain relief and better resourced nursing support to help establish BF that we would have been out days sooner, much less traumatically and saved the NHS a lot of money by doing that.

You state that you tried tramadol and codiene which left you high, what do you suggest they give you, there’s paracetomol and ibuprofen, the next step is opiods, what you were given and reacted too, if you know of some other pain killer that hospital staff know nothing about then please tell us!

RicherThanYews · 12/04/2023 10:55

My sister and I were the fools who got up and carried on as thought nothing had happened, which was ridiculous because neither of us healed for 6 months, kept bleeding and got shouted at by the health visitors etc to be fair, nobody actually said take it easy. I agree that analgesia for women after childbirth is a joke.

TakeMe2Insanity · 12/04/2023 10:56

The biggest issue is women having major abdominal surgery and being expected to get on with it. I was given adequate pain relief the lack of support is beyond belief.

MeinKraft · 12/04/2023 10:58

I had a section two years ago and had morphine and codeine. Sent home with sodium diclofenic. Great job. Must depend on the hospital.

Mumof1andacat · 12/04/2023 10:58

The offer of paracetamol as adequate pain for all types births is a joke. I was in hideous pain whilst in labour (back to back with a giant headed baby) 'would you like paracetamol?' As the midwife put them in my hand. I threw them on the floor in rage!

Cappucinoaddict · 12/04/2023 11:00

I had to BEG after my c section for pain relief , they made such a big deal about it and made out like I was a nuisance and a consultant had to come and talk to me about my ‘perception of pain’ (I’m autistic). In the end he said he would give me ‘one dose only!’ Of Tramadol. He made me feel like shit

MariaVT65 · 12/04/2023 11:01

CornishGem1975 · 12/04/2023 10:51

It does sound like you weren't in the usual amount of pain OP. I mean there's no 'normal' but what you've described is certainly not the experience of myself or anyone else I've known. Getting out of bed shouldn't have been that painful. Have you requested your notes to see if something else was at play? Could have been some nerve damage.

OP, please be assured that it is completely normal for c sections to be incredibly painful. It will also depend on how much labour you went through beforehand, how urgent the c section was, the surgeon, and how much help you had with recovery. Sitting up and getting out of bed was also agony for me.

shakeitoffsis · 12/04/2023 11:04

I'm surprised they didn't give you coedine I had coedine for a week after 2 vaginal birthday with manual removal of placenta.

turkeyboots · 12/04/2023 11:04

I thought that post c section denial of painkillers was totally normal until I had my gallbladder out. That was microsurgery, no big incision, in and out of hospital in an afternoon and no baby to take care of. I was offered so much pain relief, any tiny peep out of me and they were offering more, and none of it was paracetamol. And I went home with codeine.

perenniallymessy · 12/04/2023 11:07

In my area people seem to get diclofenac after a CS but I'm allergic to NSAIDs (aspirin, ibuprofen etc) so I got given codeine. I only took it for the first couple of days as it leaves me really spaced out so it was paracetamol only after that.

I made sure I got up regularly and I was lucky to be seen by the physio who gave me a leaflet with structured exercises to help recovery. I was moving around quite gingerly after a few days but by three weeks I was well enough to drive so I was lucky really.

I felt worse after my 3c tear- I was only allowed paracetamol as codeine can leave you constipated. I felt like my insides were going to fall out for weeks.

BlackFlyChardonnay · 12/04/2023 11:07

Yanbu. I didn't have a c-sec but had a forceps delivery, episiotomy and also a bad tear. I too was only give paracetamol after. My baby went to scbu and I also couldn't get out of bed to see her. Midwife wouldn't help me up and said im only allowed out of bed if i can get out on my own, yet wouldnt give me any stronger pain relief. I take cocodamol for period pain (i have endo) yet they expect me up and walking a few hours after having metal tongs up my chuff with just paracetamol. Honestly, it was one of the worst times in my life. I felt so powerless that I couldn't get to my baby.

Jamaisy82 · 12/04/2023 11:08

Yeah me. I've had two one emergency and I was in hospital a week. My second one was last year and an elective one. I came home the following day and I was in agony, I had never felt pain like it.

MotherofBingo · 12/04/2023 11:10

Women do seem to be given less pain relief than men for very similar symptoms/procedures which is a huge issue and needs addressing. The problem is stronger pain relief does come with more side effects like the high feeling and nausea etc.

I do think c-section aftercare in general is woefully inadequate for many women. I was stuck in the bed attached to loads of wires and IVs and a catheter attached to the bag for 48 hours in the HDU after mine, and not allowed to close the curtains even if I wanted too, I was trying to establish breastfeeding with multiple men walking past and a few did stare openly whole I was doing so. I had nobody with me but nobody was able to help me pick up my baby from the cot and the whole thing just felt very unsafe. It wasn't much better once I was transferred to the postnatal ward either.

ElegantlyTouched · 12/04/2023 11:15

I had a vaginally birth (so not the same) but I had an episiotomy (which wasn't stitched properly, but that's by the by). I was given one hydrocodeine tablet for the three hour journey home and that was it (along with the injections). When we returned the next day (dd had jaundice) the nurse in front of the drugs trolley was horrified, and said I could have whatever wanted, and gave me a box on discharge. More horrifying, it took my community midwives to demand a prescription for iron tablets, since I'd lost 2 pints during delivery and was hallucinating.

FlounderingFruitcake · 12/04/2023 11:15

Granted I went private but I was still in an NHS hospital, just on the private ward and consultant worked on both sides but I had ibuprofen and co-dydramol (paracetamol + coedine) to be take alternately, enough for a month, plus a prescription written for oramorph whilst I was in the hospital just in case it was needed (it wasn’t). I had a really good recovery and would say it was sore, but never actually painful, probably because I got adequate medication. Regular painkillers you can get in the supermarket sounds barbaric, I had no idea some NHS hospitals would try to pull that!

niugboo · 12/04/2023 11:15

Controversial but I’m going to go with your reaction to pain is extreme. They also advise to get moving as quickly as possible. The sooner you move the better once cleared.

Fabulosia · 12/04/2023 11:16

Jesus you poor thing ; that’s outrageous. I had an abdominal myomectomy to remove a growth ( same sort of incision as caesarean) and I had a morphine drip attached for a week. It was brilliant

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